MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION NPI 1861721250

NPI Information

  • NPI: 1861721250
  • Provider Name: MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1601 DOVE ST STE 170
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (949) 467-9081

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NPI Details

MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION is a specialist in Newport Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION NPI is 1861721250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1601 DOVE ST STE 170
NEWPORT BEACH, CA
ZIP 92660-421
Phone: (949) 467-9081
Fax: (714) 429-1685

The provider's authorized official is Michael K Wensley .
The authorized official title is President and has the following contact phone number (949) 705-8226.

The enumeration date for this NPI number is 12/14/2009 and was last updated on 8/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistG78267CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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